Temecula Valley Cardiology Medical Group, Inc.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

TEMECULA VALLEY CARDIOLOGY MEDICAL GROUP, INC.

Practice address

31565 Rancho Pueblo Rd
200
Temecula, CA 92592-4838

Phone

(951) 698-4600

Fax

(951) 514-2542

NPI assigned

Jun 26, 2015

Last updated

Jul 8, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Leslie Shaeffer

Title

Practice Manager

Phone

(951) 698-4600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Temecula Valley Cardiology Medical Group, Inc

  • Cardiovascular Disease Physician
  • Bonsall, CA
  • NPI 1346466646

  O20040603000860

  Same enrollment
• Temecula Valley Cardiology Medical Group, Inc.

  • Specialist
  • Menifee, CA
  • NPI 1811265135

  O20040603000860

  Same enrollment
• Temecula Valley Cardiology Medical Group, Inc.

  • Specialist
  • Murrieta, CA
  • NPI 1922031632

  O20040603000860

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brenda Gavia

  • Physician Assistant
  • Ojai, CA
  • NPI 1356098248
  NPD
• Amy Su

  • Physician Assistant
  • San Diego, CA
  • NPI 1922674290
  NPD
• Frederick Wood, MD

  • Specialist
  • Murrieta, CA
  • NPI 1164479473

  Cardiovascular Disease

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1801278718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25470 MEDICAL CENTER DR STE 105",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925624901",
            "telephone_number": "951-698-4600",
            "fax_number": "951-514-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31565 RANCHO PUEBLO RD",
            "address_2": "200",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925924838",
            "telephone_number": "951-698-4600",
            "fax_number": "951-514-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMECULA VALLEY CARDIOLOGY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-26",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "SHAEFFER",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "951-698-4600"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Temecula Mental Health
• Temecula Neurofeedback LLC
• Temecula Para Transport
• Temecula Valley Advanced Wound Care, Medical Corporation
• Temecula Valley Anesthesia Partners, Inc
• Temecula Valley Emergency Medical Associates, Inc
• Temecula Valley Emergency Physicians, Inc (Temecula Valley Emergency Physicians)
• Temecula Valley Family Physicians Inc.
• Temecula Valley Hospital Inc (Temecula Valley Hospital)
• Temecula Valley Hospitalist Medical Group, Inc.

• Cardiovascular Disease Physician in Temecula, CA
• Providers in Temecula, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.